University of Louisville Physicians, Inc.
Organization Active NPI Anesthesiology Physician · Louisville, KY
NPI 1386990232 · NPPES record last updated Nov 27, 2012
Key facts
- NPI
- 1386990232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-8266
- Fax
- (502) 852-3762
- NPI assigned
- Jul 30, 2012
- Organization subpart
- No
Authorized official
- Name
- John Elliott
- Title
- VP of HR
- Phone
- (502) 588-4206
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 24
Practitioners 110
-
Ashley Jo Allar, CRNA
-
Joshua Anderson, DO
-
Denis J. Beiter, CRNA
-
Faezah Ali Bux, M.D.
-
Zohn N Centimole, CRNA
-
Alexis Jayne Chambers, CRNA
-
Laura DL Clark, MD
-
Alicia Cobane, CRNA
-
Shelby Victoria Cofer, CRNA
-
Douglas Tyler Coulter, APRN, CRNA
-
Alex Jackson Cravanas, M.D.
-
Jessica Leigh Decoste, CRNA
-
Brian M Derhake, M.D.
-
Tracy Lee Dupree, CRNA
-
Francis Duque, MD
-
Rochelle Farah, CRNA
-
Amber Renee Fogarty, CRNA
-
Sean K Greschel, DNP, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000036 | KY | Part B Supplier - Clinic/Group Practice | 3476725599 |
Receives reassigned benefits from 2,419 practitioners This NPI is an additional NPI on the enrollment |
| O20120405000558 | IN | Part B Supplier - Clinic/Group Practice | 3476725599 |
Receives reassigned benefits from 76 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clarksville, IN; Sellersburg, IN; New Albany, MI; New Albany, IN; Madison, IN; Jeffersonville, IN; Corydon, IN |
National Provider Directory
- Tax ID family
- Ulp Acb Neurosurgery
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Anesthesiologist Assistant |
367H00000X |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0320
Other names
- ULP Anesthesiology
Other providers in Louisville, KY
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
- University of Louisville Physicians, Inc.
All providers in Louisville, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.